Individual
DR. DAVID RAY VILSACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
532 S AIKEN AVE, STE 108, PITTSBURGH, PA 15232-1521
(412) 621-5700
(412) 621-2890
Mailing address
532 S AIKEN AVE, STE 108, PITTSBURGH, PA 15232-1521
(412) 621-5700
(412) 621-2890
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC001542L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004292912
AETNA
PA
05
—
0005031350012
—
PA
01
—
1503489
GATEWAY
PA
01
—
202304
UPMC
PA
01
—
40683
HEALTH AMERICA
PA
01
—
480020822
RAILROAD MEDICARE
PA
01
—
65298
MEDPLUS
PA
01
—
887857
BS
PA
Enumeration date
08/09/2005
Last updated
05/09/2008
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